Competition Entry Form

Competition Entry Form

Please complete and attach to each entry you are submitting. Please do not write your name/contact details on the entry itself.

Name _________________________________ Date of Birth___________________________

Address ______________________________________________________________________

_____________________________________________________________________________

Postcode _____________________________________________________________________

Day Telephone _____________________________ Mobile_____________________________

Email ________________________________________________________________________

Title of Piece submitted __________________________________________________________

I have read and understood the guidelines to the competition as advertised on the website www.bourneconcertband.org.uk.

I understand that the Judges decision is final and no correspondence will be entered into on this matter.

Signed ____________________________________

Date ______________________________________

For Office Use:

Date received____________ Acknowledged______________ Result notified___________

Music returned___________ Date music returned__________

Please return with your entry to:

Julie Edgell
Westfield School
Bonsey Lane
Woking
GU22 9PR